Abstract
Objective To study the reasons and treatments of postoperative leak in large intestine carcinoma. Method To make retrospective analysis for 155 cases of large intestine carcinoma in the past two years of our hospital. Results There are 9 anastomotic leakage in 155 cases. The incidence rate is 5.8%. We take Dixon and Park's operation as extraperitoneal group (the incidence of leak is 17.1%,6/35 cases) and compare with intraperitoneal group (the incidences of leak is 4.1% ,3/70 cases),the difference is significant( P 0.05).There are 9 anastomotic leakage in 108 cases that treat with normal therapy.In the other 47 cases we used anal canal to drain from rectumand get first intention ( P 0.05,significant difference). Conclusion The reasons of anastomotic leakage are systemic and topical. To decrease the pressure of intestinal cavity by drain from intestine is a very good method.The treatments of anastomotic leakage are making drain unobstructed and push leakage healed. The final treatment is operation.
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